Holistic Home Sweetwater

Based on observation and interview, the manager failed to ensure medication stored by an assisted living facility was stored in a separate locked room, closet, cabinet, or self-contained unit. The deficient practice posed a risk to residents who were not prescribed the accessible medication. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed a refrigerator in the kitchen. The Compliance Officer observed the refrigerator had no locking mechanism installed. Inside the refrigerator, on a shelf in the door, the Compliance Officer observed one bottle of "Nystatin" and four bottles of "Vancomycin". On the top shelf in the main area of the refrigerator, the Compliance Officer observed a lock box. However, the box was not locked. Inside the box, the Compliance Officer observed a box of "Lorazepam". Additionally, on the island in the kitchen, the Compliance Officer observed a bottle of "Fluticasone propionate". 2. In a joint interview, E1 and E2 acknowledged the aforementioned medications were not stored in a separate locked room, closet, cabinet, or self-contained unit.